Provider Demographics
NPI:1982697850
Name:RAMOS, HERIBERTO DANIEL (OD)
Entity Type:Individual
Prefix:DR
First Name:HERIBERTO
Middle Name:DANIEL
Last Name:RAMOS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:7042 S STAPLES ST STE 101
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-1934
Mailing Address - Country:US
Mailing Address - Phone:361-980-0523
Mailing Address - Fax:361-994-5397
Practice Address - Street 1:7042 S STAPLES ST STE 101
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-1934
Practice Address - Country:US
Practice Address - Phone:361-980-0523
Practice Address - Fax:361-994-5397
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5882TG152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX49928OtherDAVIS VISION
TX742994163OtherTAX ID
TX0040FBOtherBLUE CROSS BLUE SHEILD
TX141856801Medicaid
TX24036OtherSPECTERA
TX451846OtherNVA
TX222479OtherCOLE MANAGE VISION